Nursing Case Study Ms. Lee

For this interview I had the opportunity to speak to Vicky Ronald, RN, BSN, OCN. She has been working as a nurse for 20 years now and stated that she loves what she does because it is a gift and a blessing to contribute in healing patients. This interview is a brief history and description of how Vicky made it to the top of the Nursing ladder, her roles, past experience and how she integrates HIPAA to maintain patient confidentiality.

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

Waters, Renita Apr 4 2017 12:21PM Waters, Renita April 4,2017 10:05 AM TC Beth Orrick RN nurse from Bent Wood Nursing for information on Mr.Allen Union who was in Bent Wood for a wound on his feet. Ms. Beth explained Allen was getting OT, and PT and was on a walker. Beth stated Mr. Allen wanted to leave and go pay his rent and other bills yesterday he didn't return back. Beth stated she TC Mr. Allen at home and he refuse to come back for any more therapy. Beth explained to Allen he must have more treatment on the wound on his feet to heal and he did take Bent Wood walker back he took. I asked Beth was Allen on any medicine she commented he left all his medication. Beth stated Allen is a diabetic and has high blood pressure including a open

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose

Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin. Upon admission, his vital signs were within normal limits. He is partially cooperative, he stated, "I just want to go to bed." He will benefit from meeting with the provider and discussing medication management.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

Naomi Louise Lungstrom, is a 59 year old nurse. She is married and has 3 sons. She has a great husband and works at Washington State University school of Nursing. Both her husband and colleagues act as a great support system. Her religion is Lutheran and would like a Chaplin regardless if they are a priest or not.

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

I'm Maria Guadalupe Garcia, and a mother of four, the youngest having ASD. I tried to find a logical reason behind the diagnosis.Was it the Diet Coke I drank when I was pregnant of him or the coke we gave him to drink when he was a baby? Whose side of the family did it come from? How was his birth different than that of his brother’s? All of these questions, left unanswered, only increased my tension. I'm more at home on social care issues, and as a parent quite involved in issues around transition. I'm also an ABA technician for Centria Healthcare. Each and every time I worked with a new client, my son comes to mind. He may not had received the needed services. My family may not have been provided with the necessary support and information.